Everything you share during our sessions is confidential and will not be communicated except under the following circumstances:

*  When you have given me a written consent.

*  When required by law:
(1) If you threaten to harm yourself or someone else, I am legally required to take whatever actions necessary to protect any identified person from harm including notifying the police.
(2) If I have reason to believe that abuse or neglect of a child, elder or dependent adult has occurred, I am legally required to report this to the appropriate agency.
*  I will respond to all subpoenas, but will refuse to release records without written permission from you, or unless ordered to do so by a judge.

*  When required by your insurance or managed care organization to verify symptoms, diagnosis and treatment, provided you have signed a release.

*  When required for effective treatment, i.e. sharing of anonymous information for consultation purposes.